Troponin measurements in a variety of critical illnesses may be useful for prognostic stratification but elevated values do not always point to the need for coronary intervention, and must be correlated with other clinical findings.

The patient with type 2 MI may or may not have atherosclerotic coronary artery disease. Clinical judgment should determine whether the patient needs evaluation for CAD and the timing of such evaluation.

1 comment:

Williams
said...

Though a nice classification clinically, when it comes to coding it codes out just like any MI would. Hence the metrics such as LOS, Mortality and even the core measures may fall out or fail secondary to calling an elevated troponin in face of sepsis a Type 2 mi. See this everyday in our facility. I would caution against using the classification and consider describing exactly what it is....elevated troponin secondary to sepsis/copd and hypoxia etc.

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Originally a traditional internist, I became a hospitalist in the early days of the “movement.” I'll be writing about clinical topics, mainly in hospital medicine. Occasionally politics and other stuff creep in. This content does not constitute medical advice (consult your physician) nor is it authoritative (check primary sources).